Coronavirus Disease 2019

Coronavirus Disease 2019

Updated November 28, 2022

Vaccine Update (9/23/2022): Bivalent booster doses targeting the latest COVID-19 variants are now recommended for those eligible under the Centers for Disease Control and Prevention (CDC) guidelines. You can schedule an appointment for a bivalent booster by visiting


Livingston County is currently at a "medium" COVID-19 community level according to the Centers for Disease Control and Prevention (CDC). 

Local COVID-19 Updates

Treatment: Medications and treatments are available that can reduce your chances of being hospitalized or dying from COVID-19. Medications to treat COVID-19 must be prescribed by a healthcare provider and started as soon as possible after diagnosis to be effective. Contact a healthcare provider right away to determine if you are eligible for treatment, even if your symptoms are mild right now. Click here to learn more about treatment options.

Vaccination: Vaccinations remain the best way to protect a person from COVID-19, and are a preventative measure to reduce severity of illness and risk of hospitalization or, even, death. Click here to find a vaccine provider near you.

Isolation and Quarantine Guidance: Follow Michigan Department of Health and Human Services (MDHHS) isolation and quarantine guidance for the general public. Click here to view the guidance.

Take action against COVID-19:

Prevent the spread of illness by using a layered approach.

If you are exposed to COVID-19, individuals are urged to take personal responsibility and action.

Anyone with signs or symptoms of COVID-19 should get tested.

If you test positive for COVID-19, stay home and talk to your doctor about treatment options.

COVID-19 Case Information

Confirmed Michigan Cases
Total Livingston County Cases

COVID-19 Cases in Livingston County Residents

Confirmed CasesProbable CasesHospitalizationsDeathsRecovered
Data source: Michigan Disease Surveillance System

 COVID-19 Frequently Asked Questions

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What are the symptoms of COVID-19?, Symptoms of COVID-19 may appear 2-14 days after exposure and can include:
  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Headache
  • Muscle or body aches
  • Sore throat
  • New loss of taste or smell
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

Individuals who are concerned about their health and experiencing respiratory illness or other concerning symptoms, should call their healthcare provider to discuss their symptoms. The CDC's Coronavirus Self-Checker can help you make decisions about seeking appropriate medical care.  Also, consider reading What to Do If You Are Sick with COVID-19.

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

*This list is not all-inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

How is COVID-19 spread?,

COVID-19 is thought to spread mainly through close contact from person to person, including between people who are physically near each other (within about 6 feet). People who are infected but do not show symptoms can also spread the virus to others. Cases of reinfection with COVID-19  have been reported but are rare.


COVID-19 most commonly spreads during close contact.

  • People who are physically near (within 6 feet) a person with COVID-19 or have direct contact with that person are at greatest risk of infection.
  • When people with COVID-19 cough, sneeze, sing, talk, or breathe they produce respiratory droplets. These droplets can range in size from larger droplets (some of which are visible) to smaller droplets. Small droplets can also form particles when they dry very quickly in the airstream.


COVID-19 can sometimes be spread by airborne transmission.

  • Some infections can be spread by exposure to virus in small droplets and particles that can linger in the air for minutes to hours. These viruses may be able to infect people who are further than 6 feet away from the person who is infected or after that person has left the space. This kind of spread is referred to as airborne transmission.
  • There is evidence that under certain conditions, people with COVID-19 seem to have infected others who were more than 6 feet away. These transmissions occurred within enclosed spaces that had inadequate ventilation. Sometimes the infected person was breathing heavily, for example while singing or exercising.
  • Available data indicate that it is much more common for the virus that causes COVID-19 to spread through close contact with a person who has COVID-19 than through airborne transmission.


COVID-19 spreads less commonly through contact with contaminated surfaces.

  • Respiratory droplets can also land on surfaces and objects. It is possible that a person could get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or eyes.
  • Spread from touching surfaces is not thought to be a common way that COVID-19 spreads


COVID-19 rarely spreads between people and animals.

  • It appears that the virus that causes COVID-19 can spread from people to animals in some situations. CDC is aware of a small number of pets worldwide, including cats and dogs, reported to be infected with the virus that causes COVID-19, mostly after close contact with people with COVID-19.
  • At this time, the risk of COVID-19 spreading from animals to people is considered to be low.

You cannot tell if someone has a risk of spreading novel coronavirus by what they look like. Stereotypes and discrimination harm public health.
How can I protect myself and others from COVID-19?,

The best way to prevent illness is to avoid being exposed to this virus. You can prevent the spread of illness by practicing everyday healthy habits.

  • Reduce your risk.

  • Stay home when you are sick.

  • Clean your hands often.

    • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.

    • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.

    • Avoid touching your eyes, nose, and mouth with unwashed hands.

  • Practice social distancing.

    • Avoid close contact with others, especially with people who are sick.

    • Put a distance of at least 6 feet between yourself and other people (social distancing).

      • Remember that some people without symptoms may be able to spread virus.

  • Wear a face mask or cloth face covering.

    • Wear a cloth face cover when you have to go out in public, for example to the grocery store or to pick up other necessities. (Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.)

    • Under MDHHS emergency orders, a person responsible for a business, government office, school, or other operation must require face coverings at gatherings (with limited exceptions). 

    • You could spread COVID-19 to others even if you do not feel sick. The cloth face cover is meant to protect other people in case you are infected.

    • Continue to keep a distance of at least six feet between yourself and others. The cloth face cover is not a substitute for social distancing.

    • Learn how to make and wear your own face covering.

    • Learn how to properly use your cloth face covering.

  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. Immediately wash your hands.

  • Clean and disinfect.

    • Clean and disinfect frequently touched objects and surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

    • If surfaces are dirty, clean them. Use detergent or soap and water prior to disinfection.

    • A list of disinfectants for use against SARS-CoV-2 (the virus that causes the COVID-19 disease) is available from the Environmental Protection Agency (EPA). This list includes many commonly used products.

  • Continue to stay home and work from home when you can.

How / Where can I get tested for COVID-19?,
How can I get tested?
Testing is ongoing by local health care providers. Individuals with concerns or symptoms should call their health care provider about testing. If you do not have a primary care provider, some urgent cares and health systems are providing testing (see below). Always call before arriving. This will allow the health care provider to prepare for your arrival.
Where can I get tested? Always call your health care provider first.

Drive-up screening/testing:

Other testing locations:

  • Ascent Urgent Care - Howell
    • Drive-up testing available Mon-Fri from 9am-12pm or by appointment.
    • Location: 1255 E Grand River Ave, Howell, MI 48843
    • Website:
    • Phone: 517-545-7400
  • Ascent Urgent Care - Fenton
    • Drive-up testing available Mon-Fri from 9am-12pm or by appointment.
    • Location: 17100 Silver Pkwy STE B, Fenton, MI 48430
    • Website:
    • Phone: 810-936-0040
  • IEP Healthy Urgent Care Brighton
  • Lee Internal Medicine
  • Livingston Urgent Care (Ascension)
    • Offering Rapid PCR Testing!
    • Call for appointment
    • Location: 1225 South Latson, Suite 130, Howell, MI 48843
    • Phone: 517-338-2360

Click here for more Michigan testing locations.

If I travel, what steps should I take to reduce my chance of getting or spreading COVID-19?,

Travel increases your chance of getting and spreading COVID-19. Staying home is the best way to protect yourself and others from COVID-19. Depending on your unique circumstances, you may choose to delay or cancel your plans. Don’t travel if you are sick or if you have been around someone with COVID-19 in the past 14 days. For the most up to date travel information, view travel alerts through the CDC.

If you decide to travel:
  • Avoid close contact by staying at least 6 feet (about 2 arms’ length) from anyone who is not from your household.
  • Wear a mask to keep your nose and mouth covered when in public settings, including on public transportation and in transportation hubs such as airports and stations.
  • Wash your hands often or use hand sanitizer.
  • Avoid contact with anyone who is sick.
  • Avoid touching your eyes, nose, and mouth.
  • Do not travel with someone who is sick.
  • The safest food options: drive-thru, delivery, take-out, and curbside pick-up.
  • Make sure you are up to date with your routine vaccinations, including measles-mumps-rubella (MMR) vaccine and the seasonal flu vaccine.
  • Follow state and local recommendations or requirements after you return from travel.

Where can I direct my COVID-19 questions?,
Health and COVID-19 Questions:
Epidemic Order Questions and Complaints:
Livingston County Health Department:
Michigan Department of Health and Human Services:
Michigan Department of Health and Human Services:
Long-term Care Facility Complaints:
Michigan Department of Licensing and Regulatory Affairs:

What should I do if I was exposed to someone with COVID-19?,

If you were exposed to someone with COVID-19, follow the instructions found here.

What should I do if I test positive for COVID-19?,

With the increase of COVID-19 cases in our area, you may not hear from the health department. We ask everyone to follow these steps to help stop the spread.

Start isolating yourself right away. Separate yourself from other household members and stay home (except for medical care). Let your employer know you have COVID-19.

Notify your close contacts so they can quarantine themselves.

  • Close contacts = someone within 6 feet for more than 15 minutes total in a 24 hour period, while you were contagious.

  • Contagious = 2 days before symptoms appear (or 2 days before positive test, if no symptoms), through the end of your isolation period.

Your isolation period ends when:

  • 10 days have passed since your symptoms started (or test date if no symptoms), and

  • You are fever-free for 24 hours, and

  • Your symptoms have improved.

Once all of the above criteria are met, you can resume normal activities.

View our instruction sheet found here.

Who should wear a mask or face covering?,

Under the Michigan Department of Health and Human Services (MDHHS) epidemic orders, all persons participating in gatherings or in public spaces where six feet social distancing cannot be maintained are required to wear a mask.


Who should wear a mask?

  • Everyone 2 years of age and older should wear a mask in public settings and when they are around people who do not live in their household.
  • Wear a mask when caring for someone who is sick with COVID-19 (whether at home or in a non-healthcare setting).
  • If you are sick with COVID-19 or think you may have COVID-19, wear a mask when you need to be around other people or animals, even in your own home.
  • In instances where wearing a mask may not be feasible, consider adaptations and alternatives.

Are there exceptions to mask requirements?

Although a face mask is strongly encouraged even for individuals not required to wear one (except for children under the age of 2), the requirement to wear a mask as required by epidemic orders does not apply to individuals who:

  • Are younger than 5 years old, outside of child-care organization setting (which are subject to requirements);
  • Cannot medically tolerate a face mask;
  • Are eating or drinking while seated at a food service establishment or at a private residence;
  • Are exercising outdoors and able to consistently maintain 6 feet of distance from others;
  • Are swimming;
  • Are receiving a medical service for which removal of the face mask is necessary;
  • Are asked to temporarily remove a face mask for identification purposes;
  • Are communicating with someone who is deaf, deafblind, or hard of hearing and whose ability to see the mouth is essential to communication;
  • Are actively engaged in a public safety role, including but not limited to law enforcement, firefighters, or emergency medical personnel, and where wearing a face mask would seriously interfere in the performance of their public safety responsibilities;
  • Are at a polling place for purposes of voting in an election;
  • Are engaging in a religious service; or
  • Are giving a speech for broadcast or to an audience, provided that the audience is at least 6 feet away from the speaker.
What is the difference between isolation and quarantine?,

Isolation keeps someone who is sick or has tested positive for COVID-19 away from others, even in their own home.

If you are diagnosed with COVID-19, begin isolating right away.

  • Stay home (except to get medical care) until after 10 days have passed since your symptoms started (or test date if no symptoms), and you are fever-free for 24 hours, and your symptoms have improved.
  • If you live with others, stay in a specific "sick room" or area and away from other people or animals, including pets. Use a separate bathroom, if available.


Quarantine keeps anyone who was in close contact with someone who has COVID-19 away from others.

If you were in close contact with a person who has COVID-19, start quarantining right away.

  • Stay home (except to get medical care) until 14 days after your last contact with the person who has COVID-19.
  • Check your temperature twice a day and watch for symptoms of COVID-19.
  • If possible, stay away from people who are at higher-risk for getting very sick from COVID-19.
Can I end my quarantine early if I test negative for COVID-19? ,

​A negative COVID-19 test result does not end your quarantine period early. Since the incubation period for the virus can be as long as 14 days, a negative test result during that possible incubation period is no guarantee that you are not infected. You could end up testing positive later on. To slow the spread of COVID-19, it is important to complete your full quarantine.

If you still decide to get tested, we recommend waiting until the end of your quarantine period.

How can I get a letter to return to work/school after recovering from COVID-19 or being exposed to someone who tested positive?,

​We recognize that some individuals who tested positive for COVID-19 or who were exposed to someone with COVID-19 may need a letter to return to work/school after completing their isolation or quarantine.  Please use the following link to request a return to work/school letter:

Why have I not received a call from the health department?,

Livingston County is experiencing an immense surge in community transmission of COVID-19. Widespread community transmission has placed tremendous strain on public health capacity throughout Michigan and locally, stretching well beyond capacity limits. This strain has resulted in decreased ability for local public health to effectively conduct and keep up with the increased demand for case investigation and contact tracing.


Due to the rapid increase in COVID-19 cases, the health department is no longer able to contact all persons who test positive for the virus as well as those who have been in close contact to someone who has COVID-19. Residents are urged not to wait for Livingston County Health Department (LCHD) to call, but to take personal responsibility and action if someone becomes aware of a positive test result or potential exposure to COVID-19.


In order to maximize staffing resources and prevent outbreaks amongst vulnerable individuals, LCHD will begin prioritizing case investigation to notify those who are:

  • Age 65 and older, especially those with chronic underlying conditions;
  • Children who are 18 years old and younger, especially those attending school in-person;
  • Individuals residing in congregate living environments, such as long-term care facilities;
  • Other individuals who test positive will be contacted as capacity allows.


Please review these resources:


Still have questions?  Email Livingston County Health Department at